Distortion assessment of different materials in full-arch dentate impressions in relation to operator experience: a comparative in vivo.

Abstract

Purpose: Evaluating the distortion probability in impressions of completely dentate arches when different impression materials are used in relation to operator experience.

Material and methods: Twenty-eight students (group A) and 7 dentists (group B) performed 3 maxillary impressions on 28 students (participants), each using vinyl siloxane ether (VSE), polyether (PE), and irreversible hydrocolloid (IHC). Gypsum master casts were fabricated and subsequently digitized. Intraoral scans were taken as a control. Differences between master casts and intraoral scans were visualized by heatmaps and planar deviations were investigated. If planar deviations of >120 μm were found, the impression was rated as "distorted." An additional superimposition using the casts from VSE or PE was performed to confirm the presence of distortions. The relative number of surfaces with distortions in each impression was calculated. The procedure was repeated for a distortion threshold of 500 μm. The statistical analyses included measures ANOVA and post-hoc tests (a < 0.05).

Results: When 120 μm was considered as the threshold for distortions, IHC impressions showed higher distortion probability than PE impressions in group A (P = 0.003) and group B (P < 0.0001). In group B only, PE showed a lower distortion probability than VSE (P = 0.02). There was no difference between the study groups (P = 0.42). Considering 500 μm as a threshold for distortions, there was no difference between impression materials (P = 0.17) or study groups (P = 0.53).

Conclusion: There were no statistic significant differences in relation to operator experience. Different impression materials had a significant impact on distortion probability. Polyether impressions showed the lowest distortion probability. Int J Prosthodont. 10.11607/ijp.8555.